Chrysalis Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHRYSALIS HEALTH

Practice address

3333 Lee Pkwy Ste 600
Dallas, TX 75219-5117

Phone

(954) 587-1008

Fax

(954) 587-0080

NPI assigned

Mar 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manuel Menendez

Title

Managing Member

Phone

(954) 587-1008

Specialties & licenses 1

Addresses

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Chrysalis Center, LLC

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1700961646

  Member Of

  NPD member

Interoperability endpoints

• Direct secure messaging: txgeneral@chrysalishealth.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jo-Ann Prisco, LMHC

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1538201975
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1770168585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD STE 100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "954-587-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 LEE PKWY STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195117",
            "telephone_number": "954-587-1008",
            "fax_number": "954-587-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "954-587-1008"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TXGeneral@chrysalishealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3800 W Broward Blvd Ste 100",
            "city": "Ft Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333121018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chronic Pain Management of North Texas, Inc
• Chronic Pain Relief Center
• Chronic Pain Relief, PA
• Susan Kelly Chrostowski, RN, MS, NP-C
• Chrysalis Counseling, P. C.
• Cassidy Peyton Chu, PA
• Claire Yun-Chen Chu, MD
• Erica Yueh-Ing Chu, M.D.
• Grace Tan Chu, D.M.D.
• Hyang Chu, FNP-C

• Community/Behavioral Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.